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0.0 years
0 - 2 Lacs
Hyderabad
Work from Office
**We Are Hiring International Semi Voice Process** *Work from Office | Hyderabad* *Only Freshers Eligible* --- **Job Role Details:** * **Process:** International Semi Voice * **Mode:** Work from Office * **Location:** Hyderabad --- **Salary Package:** * First 3 Months: 10,700 Take-home + Attractive incentives * After 4th Month: 13,200 Take-home + Attractive Incentives --- **Benefits:** One-way cab facility (up to 30 km radius) Fixed Night Shift Fixed Week Off (Saturday & Sunday) 5 Days Working --- * *Eligibility Criteria:** * Qualification: Intermediate (12th) & Above * *Note:* B.Tech Graduates are **Not Eligible** --- **How to Apply:** Interested candidates can share your resume via WhatsApp to: HR Priyanka - +91 90301 68276 Or Email your resume to: priyankam.axisservices@gmail.com *References are Highly Appreciated!*
Posted 4 weeks ago
2.0 - 4.0 years
5 - 5 Lacs
Pune
Work from Office
RCM AR Caller with 2-4 years exp in US healthcare AR medical billing, claim process, claim settlement Night shift good in English communication
Posted 4 weeks ago
1.0 - 5.0 years
1 - 4 Lacs
Chennai, Bengaluru
Work from Office
Greetings from Vee HealthTek....! We are hiring AR Callers & Senior AR Callers Experience: 1 Yrs. to 4 Yrs. ( Relevant AR experience) Process - AR Calling - Denials Management (Voice) Designation : AR Caller/Senior AR Caller Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Sahithya Contact Number - 8925866803 (What's App) Mail Id - sahithya.m@veehealthtek.com Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 900rs worth food coupon every month * Incentives based on performance
Posted 4 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Mohali
Work from Office
Eligible Candidate must have worked for EVBV or Pre Auth. US Healthcare - Provide Side Exp is mandatory Shift - 5.30pm to 2.30am both side cab facilities available 5 days working in a week Sat & Sun fixed OFF
Posted 4 weeks ago
1.0 - 2.0 years
3 - 4 Lacs
Ahmedabad
Work from Office
# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facilities # 5-day work week # Saturday and Sunday are fixed off # Experienced from 6 months to 2 years in AR calling or healthcare
Posted 4 weeks ago
1.0 - 5.0 years
2 - 6 Lacs
Pune
Work from Office
Hiring For Payment Posting Executive Exp : 1yr to 5yrs Salary : 45k Job Location: Pune Immediate joiner or 15days Contact Anushya HR 8122771407 whatsapp ur resume
Posted 4 weeks ago
1.0 - 5.0 years
3 - 5 Lacs
Mumbai
Work from Office
Job seekers, Hiring for multiple positions for MUMBAI location. Open positions *AR Follow Up *Billing *Prior Authorization *EVBV Salary : Upto 5.75 LPA Shift will be US 5 Days working Cab & Meals WFO 1-4yrs Exp in the same is Mandatory Required Candidate profile Follow up with the payer to check on claim status Identify denial reason and work on resolution Should have worked in AR follow up Preferred Athena Software & Cardiovascular billing exp 9335-906-101
Posted 4 weeks ago
1.0 - 4.0 years
3 - 5 Lacs
Mohali, Hyderabad
Work from Office
We are hiring for "ELIGIBILITY VERIFICATION ROLE" for an MNC for MULTIPLE Location. Salary : Upto 5.50 LPA Shift : Any 5 Days working WORK FROM OFFICE Need Good English Comm. skills Must have good knowledge of RCM. Only Immediate Joiners needed Required Candidate profile Must have 1 to 5 Yrs of exp. in same profile. Verifying patient insurance coverage, ensuring accurate eligibility & benefits information, & supporting seamless claims processing. Call : 9643-5837-69
Posted 4 weeks ago
0.0 - 4.0 years
1 - 3 Lacs
Mumbai, Navi Mumbai, Mumbai (All Areas)
Work from Office
Job Description:- Provide patients with the psychosocial support needed to cope with chronic, acute or terminal illnesses Communicate with patients suffering from various ailments post discharge to understand the status of their health and counsel them To enroll new patients into the system once they call in Skills: Clarity in communication; Ability to articulate and talk to the patient in a clear manner without ambiguity Active Listening skills Passionate about the role and have patient care as priority How to Apply: To schedule your interview call or send your CV through WhatsApp HR. Sayali : 9158043197
Posted 4 weeks ago
0.0 - 3.0 years
2 - 5 Lacs
Noida
Work from Office
We are looking for a skilled Accounts Receivable Analyst with hands-on experience in US healthcare revenue cycle management. The ideal candidate will be responsible for reducing AR days, addressing claim denials, and ensuring timely collections through effective communication and follow-ups with payers. Job Responsibilities Actively follow up with insurance carriers to resolve outstanding claims and minimize AR backlogs. Investigate denied claims, identify causes, and take corrective action including appeals and resubmissions. Liaise professionally with insurance representatives and healthcare providers to resolve claim issues. Work AR aging reports regularly to prioritize high-value or aging accounts for collection efforts. Maintain clear and detailed records of all communications and claim actions in the billing system. Ensure all actions comply with HIPAA and US healthcare regulations. Provide regular updates and summary reports to management on AR performance and recovery trends. Qualifications & Skills 1 o 3 years of experience in US healthcare AR calling (Physician or Hospital Billing). Strong background in denial management and claims resolution. Familiarity with Medicare, Medicaid, and commercial insurance billing guidelines. Experience working with EMR and billing platforms such as Allscripts, AdvancedMD, eClinicalWorks, DrChrono or equivalent. Proficient in Excel, Outlook, and basic data handling tools. Strong verbal and written communication skills. Detail-oriented with good problem-solving abilities. Ability to work night shifts from office premises. Perks and Benefits 5-days Working One Side Cab Drop Performance-based incentives Opportunities for growth and skill development Supportive team environment Note: Immediate joiners preferred. Please share your CV to hr@revsyntech.com
Posted 1 month ago
1.0 - 5.0 years
2 - 4 Lacs
Pune, Bengaluru, Mumbai (All Areas)
Work from Office
Hiring for AR & Sr. AR Caller (Denials / Voice Process / Physician or Hospital Billing) Salary: 40,000 45,000 in-hand (based on experience) Experience: 1 to 5 years Location: Bangalore, Mumbai, Pune Work Mode: Work from Office Interview Mode: Virtual Joining: Immediate joiners preferred Immediate Selection Easy Process Refer Your Friends! WhatsApp your CV for quick response: 7845261895 Zubaitha – HR
Posted 1 month ago
3.0 - 5.0 years
4 - 6 Lacs
Noida
Work from Office
Roles and Responsibilities Relationship Management & Engagement: Conduct regular check-ins and business reviews to assess progress, gather feedback, and foster long-term client relationships. Issue Resolution & Escalation: Identify and resolve client issues efficiently, coordinating with internal teams for escalation and timely resolution. Collaboration & Communication: Maintain strong cross-functional communication by sharing insights, performance metrics, and client feedback through regular reports and updates with internal stakeholders and clients. Role & responsibilities Preferred candidate profile
Posted 1 month ago
2.0 - 7.0 years
3 - 7 Lacs
Gurugram
Work from Office
About the work - Member Services for Seniors: Medicare and Retiree programs serve a vulnerable demographic, seniors who often have complex health conditions, limited digital literacy, and require extra care and patience over the phone. Segments we will support (Phase 1) : Medicare Advantage (Part C) : End-to-end plans covering hospitalization, medical services, and prescriptions. Group Retiree Plans : Tailored benefits for retired employees of corporations, government, or unions, often with layered entitlements and detailed queries. D-SNP (Dual-Eligible) : For members eligible for both Medicare and Medicaid. These are low-income or disabled seniors, requiring high sensitivity and multi-agency coordination. Call types expected : Plan eligibility, enrollment, and disenrollment Co-pay and deductible clarifications Benefit explanations (vision, dental, OTC) Provider and PCP changes Claims, EOBs, and billing support Pharmacy exceptions and drug tier clarifications Appeals, grievances, and service denials Hospice and long-term care coordination Medicaid coordination Skill requirements : Deep understanding of CMS (Centers for Medicare & Medicaid Services) guidelines Familiarity with Medicaid programs by state Strong listening and verbal communication Patience and empathy for cognitive or hearing impairments Proficiency in navigating multiple systems and tools Why this matters : Customer satisfaction directly impacts Medicare Star Ratings, which drive UHGs CMS reimbursements First 90-day retention is critical to reduce member churn Supporting D-SNP and retiree populations reinforces UHG’s mission of healthcare equity and access This is a defining opportunity, let’s come together to exceed expectations, build client trust, and establish ourselves as a long-term strategic partner for UHG. Looking forward to your thoughts and functional readiness in our upcoming working session. Regards Trapti Singh 9911397154
Posted 1 month ago
3.0 - 6.0 years
2 - 5 Lacs
Noida, Delhi / NCR
Work from Office
We are seeking an experienced and detail-oriented Eligibility and Verification Specialist to join our dynamic healthcare team. The ideal candidate will have a strong background in verifying insurance eligibility and benefits, possess excellent communication skills, and be comfortable working in a night shift. Key Responsibilities: Perform accurate and timely verification of patient insurance eligibility and benefits. Contact insurance companies via phone or portal to confirm active coverage, co-pays, deductibles, prior authorization requirements, and plan limitations. Communicate verification outcomes to scheduling, billing, and front desk teams. Document all verification results clearly and precisely in the system. Follow up on any incomplete or unclear insurance details with patients or insurers. Ensure HIPAA compliance in handling all patient and insurance information. Collaborate with team members to improve verification accuracy and efficiency. Requirements: Minimum 3 years of hands-on experience in insurance eligibility and verification and revenue cycle management in a healthcare setting (US healthcare). Excellent verbal and written communication skills must be fluent and confident in English. Ability to work independently and manage time effectively during the Night Shift. Must be willing to commute on their own as no transport facility and meal facility is provided . Strong attention to detail, problem-solving skills, and a proactive approach. Experience with EMR/EHR systems and insurance portals is preferred. Benefits: Competitive salary package Meal allowance provided Opportunities for career growth within the organization Dynamic and supportive team environment How to apply: Interested and eligible candidates can send their updated resumes at humanresources@cognithium.com or can call at 9289754401
Posted 1 month ago
1.0 - 3.0 years
1 - 3 Lacs
Chennai
Work from Office
Responsibilities: * Ensure accurate medical billing * Verify eligibility & insurance for US healthcare services * Maintain confidentiality at all times * Manage RCM process from admission to payment
Posted 1 month ago
8.0 - 10.0 years
5 - 9 Lacs
Navi Mumbai
Work from Office
Job Title: Assistant Manager – Risk & Compliance Department: Risk & Compliance Work Location: Airoli, Navi Mumbai & Sakinaka , Andheri Work Shift: 3:00 PM to 12:00 AM IST Reporting To: Director – Risk & Compliance Team Size: 2–3 Executives (Global) Job Purpose: To ensure compliance with applicable local laws, US healthcare industry regulations (such as HIPAA), and internal company policies, including anti-bribery, code of conduct, and PHI safeguarding. This role plays a critical part in enabling a secure and compliant operational environment across global functions. Goals & Objectives: Ensure a secure and compliant customer experience Build an effective internal control environment Promote ethical and compliant business practices Key Responsibilities: Compliance Management Implement and monitor GeBBS compliance programs across all business functions Review, update, and maintain internal policies and procedures Conduct regular PHI risk assessments for existing and new processes Handle incident reporting and maintain records with appropriate follow-up Promote adherence to disciplinary and ethical standards through awareness sessions Audit & Assurance Conduct internal audits on: HIPAA compliance MSA/BAA/SOW terms Certifications and continual standard compliance Code of conduct, ethics, and SLA efficiency Operational practices Publish comprehensive audit reports and dashboards External & Certification Audits Coordinate and support external, client, and certification audits (e.g., ISO 9001) Act as an audit SPOC for compliance and quality reviews Risk Management Identify operational and organizational risks Collaborate with key stakeholders to define and implement mitigation plans Facilitate reporting to the Risk & Audit Committee as necessary Stakeholder Collaboration Work closely with HR, IT, and Operations to drive the implementation of compliance programs Communicate and coordinate with corporate compliance teams and senior management globally Qualifications & Skills Required: Education: Graduate in any discipline Experience: 8–10 years in Compliance and Audit 5–6 years in the RCM industry—experience in medical coding is a plus Technical & Soft Skills: Strong understanding of US healthcare regulations and HIPAA Excellent written and verbal communication skills Proficient in MS Office; working knowledge of Power BI or Tableau preferred Analytical mindset with high attention to detail Ability to work independently and manage global stakeholders Why Join Us? At GeBBS, you’ll play a critical role in building an ethical, scalable, and compliant global operation. Be part of a purpose-driven team that values trust, integrity, and operational excellence. Important: GeBBS never charges fees or accepts payments for job applications. If you receive any such request, report immediately to reporthr@gebbs.com.
Posted 1 month ago
1.0 - 3.0 years
2 - 3 Lacs
Hyderabad
Work from Office
Greetings from Firstsource Solution!!! We have an exciting opportunity for experienced candidates for with good communication skills for claims adjudication process. Walk-in Time : 11:30 AM to 2:00 PM Mode of Interview: 1. F2F HR round 2. Assessments 3. Live chat 4. Operations manager round. Eligibility Criteria: Minimum 6 months experience is required in Claims/ Insurance or healthcare. Processing and data entry for routine types of physician and contract linkage transactions such as: Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.) Perform physician demographics and contract linkage data using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.) Responsible for ensuring all data elements necessary to complete the request are provided and responds to the submitter with a detailed outline if additional information is needed Use desk-top macros whenever possible to ensure data loading accuracy and efficiency Send large requests capable of being automated as defined by management to the AST Provide excellent customer service to customers (physician, health plans, affiliates, delegates, insured, and all associated business partners) by: Quickly and accurately identifying and assessing customer needs and taking appropriate action steps to satisfy those needs Solve problems systematically using sound business judgment and following through on commitments using an automated approach whenever possible Respond to customers in a polite and professional manner Complete assigned work within established TAT and Quality metrics while remaining within downtime parameters to ensure customer satisfaction. Interested candidates must directly walk-in to Firstsource office for the interview process. Please carry updated resume and Govt. photo ID proof Point of contact: N ithra-HR [Write on top of your resume] Contact no: 9502212950 Venue Details: Firstsource Solutions Limited 5th Floor, BSR Tech Park, Near Wipro Circle, Nanakramguda Financial District. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.
Posted 1 month ago
1.0 - 3.0 years
3 - 4 Lacs
Ahmedabad
Work from Office
# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facilities # 5-day work week # Saturday and Sunday are fixed off # Experienced from 2 months to 2 years in AR calling or healthcare
Posted 1 month ago
6.0 - 10.0 years
11 - 19 Lacs
Pune, Bengaluru, Mumbai (All Areas)
Hybrid
FACETS Developer Job Description: Overall IT Experience - 8+ Years 5+ years of Senior level Applications Developer with relevant experience 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI 4+ years of experience working with SQL Database , Stored Procedures 4+ years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development 2+ years of Agile experience CI/CD Experience .NET Full Stack including Angular Cloud Experience, Docker, Kubernetes, Kafka Responsible for design, development, and support activities in core Facets Applications within Claims Domain. Exhibit strong ownership and ability to work in global team environment. Agile - Works with product management to ensure stories are well worded, have appropriate acceptance criteria and are sized appropriately. Create design documents and Implements component design in-line with predefined team architectural patterns. Participate in Detail Design sessions and able to identify/provide feedback on designs provided and implemented by others Candidates Please share cv on samiksha.abhijitkasar@wipro.com Thanks Samiksha
Posted 1 month ago
1.0 - 2.0 years
1 - 3 Lacs
Gandhinagar, Ahmedabad
Work from Office
#Shift: US Shift #Location: Ahmedabad #Salary: Up to 30k CTC Cab Facility Both Side 5 Days working in a week Strong English Communication 01 to 02 Year Experience
Posted 1 month ago
11.0 - 16.0 years
7 - 15 Lacs
Bengaluru
Work from Office
We are hiring for TOP MNC for Healthcare Sales Manager (US Healthcare) Location - Bangalore Experience - 11 - 16 Years Salary- Max 15LPA + Variables Notice Period - Immediate - 30 Days max. Shift - US Night Shift Please Note- Need to be flexible work from office all 5 Days. Qualification- Graduate and postgraduate. Skills Required Role Overview: We are seeking a seasoned Sales Manager for our Healthcare BPO division who will be instrumental in driving our sales initiatives in the US and EU markets. The ideal candidate will have a robust background in international BPO sales, with a significant focus on US healthcare sectors such as RCM and teleradiology. This role requires a strategic thinker with excellent communication skills and a proven track record of managing large deals and exceeding revenue targets. Familiarity with GenAI applications in healthcare and a deep understanding of client acquisition models in the US are crucial. Key Responsibilities: Must be a Graduate/MBA with 12+ years of experience in International BPO sales. 5+ years in US healthcare sales in areas like RCM, teleradiology etc a must (non-negotiable). Excellent communication skills for managing inside sales. Healthcare market awareness in US and EU including matters related to compliance etc an advantage. Must have managed deal sizes in excess of 500,000 USD. Must have worked with Annual revenue targets exceeding 1Million USD. Familiarity of client acquisition models in the US including outbound sales models. Familiarity of GenAI interruptions in Healthcare BPO models and experience in product marketing in Healthcare Bpo Ai will be an advantage. Interested candidates please share resume on below details Share CV on: Amzad@inspirationmanpower.co.in Call to: Amzad Ali - 9900024952
Posted 1 month ago
6.0 - 11.0 years
10 - 12 Lacs
New Delhi, Gurugram, Delhi / NCR
Work from Office
Roles and Responsibilities Conduct medical audits for high-value claims, including inpatient and outpatient services. Review NCCI guidelines to ensure accurate coding and compliance with US healthcare regulations. Analyze CPT codes to identify discrepancies and optimize claim processing. Collaborate with internal stakeholders to resolve issues related to claims adjudication. Develop expertise in dollar value claims handling, focusing on accuracy and efficiency. Desired Candidate Profile 6-11 years of experience in Medical Audit or Claims Auditing/Audition role. Strong understanding of CPT, ICD-10-CM/PCS, HCPCS Level II codes; knowledge of anesthesia codes (G0152) preferred. Experience working with High Value Claims (HVC) is essential; familiarity with NCCI guidelines a plus.
Posted 1 month ago
1.0 - 4.0 years
1 - 5 Lacs
Chennai, Bengaluru, Mumbai (All Areas)
Work from Office
Hello Connections..! We have Huge openings for Ar callers!!!! Greetings from Happiehire!!! Designation: Ar caller / Sr Ar caller (International voice process) Experience: 1 to 4 years - (physician billing / hospital billing / Denials, voice process) **** Chennai location / Bangalore location / Mumbai location*** Experience in physician or hospital billing Denial experience mandatory Good salary hike Virtual /walkin available FOR IMMEDIATE RESPONSE SEND CV TO 8925221508 Yogalakshmi Happiehire
Posted 1 month ago
4.0 - 9.0 years
3 - 5 Lacs
Bengaluru
Work from Office
Job TitleFinance reporting (Refund Claims and analysis) Location[Bangalore] Experience RequiredMinimum 3–4 years Employment Type[Full-time] Job SummaryWe are looking for a detail-oriented and proactive Refund Claims & Collections Executive with prior experience in the travel industry, who has knowledge in airline refund collections. The ideal candidate will have a strong understanding of industry practices, familiarity with GDS tools, MS office and the ability to manage the refund claim transaction volume on a daily basis. Key Responsibilities: Handle refund processes related to bookings and transactions within the travel domain. Manage end-to-end claims processing, ensuring timely validation, documentation, and closure. Coordinate with internal teams and external partners (airlines, GDS, vendors) to resolve refund claim-related issues. Maintain accurate records and logs of claims and collections activities. Use GDS software for information retrieval and resolution (As applicable). Generate basic reports and summaries using MS Excel and other MS Office tools. Ensure compliance with company policies and service level agreements (SLAs). Required Qualifications & Skills: 3–4 years of relevant experience in GDS and airline refund claims and collections within the travel industry. Exposure to GDS software such as Amadeus, Sabre, or Galileo (preferred). Strong analytical and problem-solving skills. Proficiency in MS Office, especially Excel. Ability to communicate clearly and professionally across teams and with external partners. Attention to detail, time management, and organizational abilities. Preferred Attributes: Prior experience working with travel agencies, airlines, or B2B travel platforms. Understanding of ticketing and refund processes.
Posted 1 month ago
1.0 - 3.0 years
2 - 3 Lacs
Ambattur, Chennai
Work from Office
Good knowledge in Denials, appeals, rejection/claims, correspondence Knowledge in RCM & AR fundamentals AR Caller (Night shift - no cab) Sat & Sun Fixed Week Off Direct Walk-in Interview Contact: Priyadarshini HR 9363752251
Posted 1 month ago
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